Presentation
In the present series abduction braces permitted the replacement of the femoral head in its proper position and retained it there. The results were excellent in 32 of the 35 cases. [jamanetwork.com]
The clinical and radiographic presentations may be identical. Both can present with asymmetry of the thigh skin creases and a leg length discrepancy. [ncbi.nlm.nih.gov]
CONCLUSION: Hips presenting REI < 30° and AA < 25° do not tend to evolve to subluxation and can be kept under observation. [scielo.br]
Entire Body System
- Cerebral Palsy
Hip subluxation is common in children with spastic cerebral palsy. Most physicians favor intervention to treat hip subluxation in skeletally immature patients with cerebral palsy. [ncbi.nlm.nih.gov]
- Wound Infection
Postsurgical morbidity included delay in osteotomy healing, wound infection and sciatic nerve damage. [ncbi.nlm.nih.gov]
Respiratoric
- Aspiration
Patients in whom large hemarthroses are diagnosed on magnetic resonance images should undergo acute aspiration, and all players should be treated with a six-week regimen of toe-touch weight-bearing with use of crutches. [ncbi.nlm.nih.gov]
Careful clinico-radiological assessment and emergent aspiration reduces joint pressure and the evaluation of the aspirate can be instrumental to diagnose or rule out transient synovitis. [jrmds.in]
Skin
- Dermatitis
Complications with this harness were limited to mild dermatitis during the early phase of this study which was resolved by use of skin cream. Additionally no delayed reduction or aseptic necrosis of the femoral head has been encountered. [oandplibrary.com]
Musculoskeletal
- Muscular Atrophy
Abstract Although hip subluxation and dislocation occur commonly in neuromuscular diseases such as cerebral palsy, spinal muscular atrophy and myelomeningocele, they are not known to commonly affect patients with Duchenne Muscular Dystrophy. [ncbi.nlm.nih.gov]
( 15614063 ) Leet AI...Sponseller PD 2005 31 Soft-tissue releases to treat spastic hip subluxation in children with cerebral palsy. ( 15805214 ) Presedo A...Miller F 2005 32 Operative treatment for hip subluxation in spinal muscular atrophy. ( 16260676 [malacards.org]
- Joint Subluxation
This is a demonstration of how the faulty connective tissue makes my hip joint subluxate or dislocate. This is because Ehlers Danlos Syndrome causes your ligaments (that hold the joints together) to be abnormally stretchy. [youtube.com]
Conclusions Selective dorsal rhizotomy is more likely to have a positive effect or no effect on hip joint subluxation rather than to have a negative effect. [thejns.org]
Despite these statistics, most people who undergo hip replacement surgery are able to resume a normal, active lifestyle without significant discomfort from their hip joint. Hip Subluxation A related injury is called a hip subluxation. [verywellhealth.com]
- Short Trunk
Abstract We report a case of Dyggve-Melchior-Clausen syndrome, a skeletal dysplasia with short trunk dwarfism and mental retardation. A Chiari pelvic osteotomy was performed to halt hip subluxation on both sides. [ncbi.nlm.nih.gov]
- Limited Hip Abduction
Using limited hip abduction of < or =30 degrees and subluxation of > or =25% migration percentage as indications, patients had open adductor and iliopsoas lengthenings with immediate postoperative mobilization and no abduction bracing. [ncbi.nlm.nih.gov]
- Leg Length Inequality
She had a leg length inequality with a positive Galeazzi sign, the right being shorter than the left. A subtle (less than 10°) limitation of abduction of the right hip was noted; no instability was felt. [ncbi.nlm.nih.gov]
Neurologic
- Radiculopathy
Work-up revealed anterolateral subluxation of the left femoral head along with left hip plexiform neurofibroma (PN), dysplastic and degenerative changes, neurofibromatous neuropathy and chronic left L5 radiculopathy. [ncbi.nlm.nih.gov]
Sirisha K...Rajasekhar L 2017 5 Proactive treatment of hip subluxation in cerebral palsy. ( 27343146 ) Bauer J 2016 6 Multifactorial pathological hip subluxation in neurofibromatosis type-1 (NF1) due to intra-articular plexiform neurofibroma, lumbar radiculopathy [malacards.org]
- Polyneuropathy
Our patient, unlike those in other reports, illustrates multiple aetiologies of hip dislocation in NF1 including local factors, lumbar radiculopathy and polyneuropathy, reinforcing the importance of a multidisciplinary approach in the management of such [ncbi.nlm.nih.gov]
Proactive treatment of hip subluxation in cerebral palsy. ( 27343146 ) Bauer J 2016 6 Multifactorial pathological hip subluxation in neurofibromatosis type-1 (NF1) due to intra-articular plexiform neurofibroma, lumbar radiculopathy and neurofibromatous polyneuropathy [malacards.org]
- Foot Drop
Physical examination revealed left-sided mild foot drop, hip abductor weakness, bilateral sensory loss in feet and an antalgic gait. [ncbi.nlm.nih.gov]
Workup
This case highlights the importance of a complete radiographic workup for a potential traumatic hip subluxation. [ijoonline.com]
Common closed reduction methods include the Allis method and Stimson method. [20] Once reduction is completed management becomes less urgent and appropriate workup including CT scanning can be completed. [13] Post-reduction, people may begin early crutch-assisted [en.wikipedia.org]
Persistent or minimal improvement in symptoms following the injection should prompt either a repeat injection to confirm that the injection is intra-articular or further workup to search for other potential sources of pain. [academic.oup.com]
Treatment
Levels of ability, type and amount of equipment use and treatments were recorded every three months. At 30 and 60 months, the hips were X-rayed and the hip migration percentage was measured. [ncbi.nlm.nih.gov]
[…] of acquired hip subluxation in cerebral palsy. ( 3624476 ) Reimers J 1987 50 Treatment of acquired hip subluxation in cerebral palsy. ( 3711319 ) Houkom JA...Norris EN 1986 [malacards.org]
No other treatment method or surgery has been required in the treatment of all such cases over the past 10 years. [oandplibrary.com]
Prognosis
The only independent factor that affected prognosis after soft tissue release surgery was the preoperative AI. The preoperative AI values [ncbi.nlm.nih.gov]
The anatomy of the dysplastic hip in cerebral palsy related to prognosis and treatment / J. Vidal, P. Deguillaume, M. Vidal // International Orthopaedics (SICOT). — 1985. — Vol. 9. — P. 105–110. [otp-journal.com.ua]
PROGNOSIS FROM 30 MONTH DATA Data collected at 30 months correlated much better with the four year hip state (r = 0.72) than those at 18 and 24 months (r = 0.58). [adc.bmj.com]
Rosenbaum P, Walter SD, Hanna SE, Palisano RJ, Russel DJ, Parminder R, Wood E, Bartlett DJ, Galuppi B: Prognosis for gross motor function in children with cerebral palsy: creation of motor development curves. [bmcmusculoskeletdisord.biomedcentral.com]
Etiology
The surgical treatment of hip microinstability should focus on addressing the underlying etiology and associated intra-articular pathology. [academic.oup.com]
Developmental Findings at birth Hip usually normal Hip usually abnormal Age at risk Usually normal in 1st year of life; recognized after age 2yr Most often recognized in 1st year of life Detection Radiographs needed in most cases Physical exam in most cases Etiology [orthobullets.com]
Perinatal observations on the etiology of congenital dislocation of the hip. Clin Orthop 119, 11-22. Iwasaki K (1983). Treatment of congenital dislocation of the hip by the Pavlik harness. Mechanism of reduction and usage. [oandplibrary.com]
Keywords: Hip dislocation/etiology; Hip dislocation/pathology; Hip dislocation/surgery; Cerebral palsy; Treatment outcome Introduction Hip dislocation or subluxation in non-ambulatory patients with spastic cerebral palsy can lead to pain, difficulties [scielo.br]
Epidemiology /Etiology Characteristics of patients with an increased risk of developing a luxation: female gender, alcohol abuse, various preoperative disorders and older age because decreased muscle mass reduces the stress on the hip prosthesis and decreases [physio-pedia.com]
Epidemiology
Understanding the epidemiology, anatomy, difference between congenital and acquired, screening, treatments, and rehabilitation are all relevant to the topic. [icd.codes]
"Hip dislocations--epidemiology, treatment, and outcomes". Injury. 41 (4): 329–34. doi : 10.1016/j.injury.2009.08.007. PMID 19796765. ^ Callaghan, John J.; Rosenberg, Aaron G.; Rubash, Harry E. (2007). The Adult Hip. [en.wikipedia.org]
Epidemiology /Etiology Characteristics of patients with an increased risk of developing a luxation: female gender, alcohol abuse, various preoperative disorders and older age because decreased muscle mass reduces the stress on the hip prosthesis and decreases [physio-pedia.com]
The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg [Am] 2009 ;91-A:128–33. Google Scholar 24 Patel PD, Potts A, Froimson MI. The dislocating hip arthroplasty: prevention and treatment. [online.boneandjoint.org.uk]
Stanley F, Blair E, Alberman E: Cerebral palsies: epidemiology and causal pathways. 2000, London: Mac Keith 21. Soo B, Howard JJ, Boyd R, Reid SM, Lanigan A, Wolfe R, Reddihough D, Graham K: Hip displacement in cerebral palsy. [bmcmusculoskeletdisord.biomedcentral.com]
Prevention
The possible relationship between subluxation and pelvic tilt also calls for better control of sitting posture to prevent pelvic tilt. [ncbi.nlm.nih.gov]
Prevention Children who have hip dysplasia should be treated for their condition. Avoiding high-impact sports may help to prevent some cases of hip dislocation. Other names for subluxation and dislocation of the hip Hip dislocation Hip subluxation [ada.com]